Latest & greatest articles for endometriosis

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Top results for endometriosis

121. The performance of CA-125 measurement in the detection of endometriosis: a meta-analysis

The performance of CA-125 measurement in the detection of endometriosis: a meta-analysis The performance of CA-125 measurement in the detection of endometriosis: a meta-analysis The performance of CA-125 measurement in the detection of endometriosis: a meta-analysis Mol B W, Bayram N, Lijmer J G, Wiegerinck M A, Bongers M Y, van der Veen F, Bossuyt P M Authors' objectives To assess the diagnostic performance of serum CA-125 measurement in the detection of endometriosis. Searching MEDLINE (from (...) January 1966 to November 1997) and EMBASE (from January 1988 to November 1997) were searched using the keywords `CA125' or `CA-125', `laparoscopy' and all phrases containing the word `endometriosis'. Cross-references in selected articles were checked. Study selection Study designs of evaluations included in the review Diagnostic cohort and case-control studies were eligible for inclusion. Specific interventions included in the review Articles reporting serum CA-125 measurement were eligible

1998 DARE.

122. Laparoscopic surgery in infertile women with minimal or mild endometriosis. Canadian Collaborative Group on Endometriosis. (Abstract)

Laparoscopic surgery in infertile women with minimal or mild endometriosis. Canadian Collaborative Group on Endometriosis. Minimal or mild endometriosis is frequently diagnosed in infertile women. It is often treated by resection or ablation of the lesions, but whether this improves fertility has not been established. We carried out a randomized, controlled trial to determine whether laparoscopic surgery enhanced fecundity in infertile women with minimal or mild endometriosis.We studied 341 (...) infertile women 20 to 39 years of age with minimal or mild endometriosis. During diagnostic laparoscopy the women were randomly assigned to undergo resection or ablation of visible endometriosis or diagnostic laparoscopy only. They were followed for 36 weeks after the laparoscopy or, for those who became pregnant during that interval, for up to 20 weeks of pregnancy.Among the 172 women who had resection or ablation of endometriosis, 50 became pregnant and had pregnancies that continued for 20 weeks

1997 NEJM Controlled trial quality: predicted high

123. Progestins for symptomatic endometriosis: a critical analysis of the evidence

Progestins for symptomatic endometriosis: a critical analysis of the evidence Progestins for symptomatic endometriosis: a critical analysis of the evidence Progestins for symptomatic endometriosis: a critical analysis of the evidence Vercellini P, Cortesi I, Crosignani P G Authors' objectives To obtain estimates of the effectiveness of progestin treatment for pelvic pain associated with endometriosis. Searching MEDLINE was searched from 1966 to 1996 for studies published in the English language (...) , using the MeSH terms 'endometriosis', 'pelvic pain', 'dysmenorrhea', 'dyspareunia', 'infertility' and 'medical therapy'. In addition, selected speciality journals and Current Contents (Clinical Medicine) were handsearched (January 1976 to June 1996 and January 1986 to June 1996, respectively). References from retrieved articles, and from books and monographs on endometriosis published in the previous 10 years, were examined for additional studies. Study selection Study designs of evaluations

1997 DARE.

124. Pelvic endometriosis: impact of magnetic resonance imaging on treatment decisions and costs

to reveal a normal pelvis in 6 patients, surgically confirmed endometriosis in 26 patients, hematosalpingitis in 1 patient, benign cystic teratome in 1 patient and ovarian cancer with internal hemorrhage in 1 patient. A total of 52 lesions were estimated to be found in the 26 patients with endometriosis. MR images were estimated to have identified 20 endometriomas. MR imaging results were estimated to be true-negative in 7 patients and false-negative in 6 patients. The overall sensitivity, specificity (...) costs. CRD COMMENTARY - Selection of comparators The reason for the choice of the comparator was clear. Endometriosis is a condition in which functioning endometrial glands and stroma develop outside their normal location. MR imaging has been advocated as the technique of choice for diagnosis and evaluation of endometriosis. You, as a user of this database, should consider whether these are widely used health technologies in your setting. Validity of estimate of measure of benefit The estimate

1996 NHS Economic Evaluation Database.

125. Using economics alongside medical audit: a case study of the management of endometriosis

Using economics alongside medical audit: a case study of the management of endometriosis Using economics alongside medical audit: a case study of the management of endometriosis Using economics alongside medical audit: a case study of the management of endometriosis Bodner C, Vale L, Ratcliffe J, Farrar S Record Status This is a critical abstract of an economic evaluation that meets the criteria for inclusion on NHS EED. Each abstract contains a brief summary of the methods, the results (...) and conclusions followed by a detailed critical assessment on the reliability of the study and the conclusions drawn. Health technology Expectant treatment, andmedical treatment in the management of patients with newly diagnosed endometriosis associated infertility were compared. Type of intervention Treatment. Economic study type Cost-effectiveness analysis and cost-utility analyses. Study population Patients with newly diagnosed endometriosis associated infertility. Setting Hospital. The economic study

1996 NHS Economic Evaluation Database.

126. Administration of nasal nafarelin as compared with oral danazol for endometriosis. A multicenter double-blind comparative clinical trial. (Abstract)

Administration of nasal nafarelin as compared with oral danazol for endometriosis. A multicenter double-blind comparative clinical trial. Treatment with nafarelin, a gonadotropin-releasing hormone agonist, reversibly inhibits ovarian function and induces hypoestrogenemia. To determine the efficacy of such hormonal manipulation in the treatment of endometriosis, we randomly assigned 213 patients with laparoscopically confirmed endometriosis to receive, for six months, either nafarelin by nasal (...) to 11.7 with 400 micrograms of nafarelin, and from 18.4 to 10.5 with danazol (P = 0.0001 within each group; there were no statistically significant differences between the groups). The percentage of women with severely painful symptoms of endometriosis decreased from about 40 percent to 5 to 10 percent, whereas the percentage with no or minimal discomfort rose from 25 to 70 percent. Of the 149 patients who tried to become pregnant, 58 (39 percent) succeeded after the completion of treatment; similar

1988 NEJM Controlled trial quality: uncertain